{"id":135584,"date":"2024-09-05T10:55:36","date_gmt":"2024-09-05T10:55:36","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=135584"},"modified":"2024-09-05T10:55:39","modified_gmt":"2024-09-05T10:55:39","slug":"a-newborn-with-a-repaired-gastroschisis-is-transferred-to-the-pediatric-unit-after-several-days-in-the-pediatric-intensive-care-unit","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2024\/09\/05\/a-newborn-with-a-repaired-gastroschisis-is-transferred-to-the-pediatric-unit-after-several-days-in-the-pediatric-intensive-care-unit\/","title":{"rendered":"A newborn with a repaired gastroschisis is transferred to the pediatric unit after several days in the pediatric intensive care unit"},"content":{"rendered":"\n<p>A newborn with a repaired gastroschisis is transferred to the pediatric unit after several days in the pediatric intensive care unit.<\/p>\n\n\n\n<p>The infant is receiving parenteral nutrition and continuous enteral feedings.<\/p>\n\n\n\n<p>To maintain normal growth and development of the infant, which action should the nurse include in the plan of care?<\/p>\n\n\n\n<p>A Speak to the healthcare provider about instituting physical therapy.<br>B Offer a pacifier for non-nutritive sucking.<br>C Ensure placement of the enteral tube with an abdominal x-ray.<br>D Use sterile technique during feedings.<\/p>\n\n\n\n<p><strong><mark style=\"background-color:rgba(0, 0, 0, 0)\" class=\"has-inline-color has-ast-global-color-6-color\">The Correct Answer and Explanation is:<\/mark><\/strong><\/p>\n\n\n\n<p>The correct answer is <strong>B. Offer a pacifier for non-nutritive sucking<\/strong>.<\/p>\n\n\n\n<p><strong>Explanation:<\/strong><\/p>\n\n\n\n<p>In the care of a newborn who has undergone a surgical repair for gastroschisis and is now receiving parenteral nutrition and continuous enteral feedings, promoting normal growth and development involves addressing both physical and emotional needs. While all the options listed could play a role in the infant&#8217;s care, offering a pacifier for non-nutritive sucking is particularly relevant for the following reasons:<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li><strong>Promoting Oral Development<\/strong>: Non-nutritive sucking, such as using a pacifier, supports the development of oral motor skills. For newborns, sucking is a natural reflex that contributes to the development of the oral muscles and coordination. Even though the infant is receiving nutritional support through parenteral and enteral routes, providing a pacifier can help mimic the sucking process, which is crucial for oral development.<\/li>\n\n\n\n<li><strong>Comfort and Security<\/strong>: Sucking on a pacifier provides comfort and can help soothe a newborn. This can be particularly important for infants who have undergone surgery and are adjusting to their new feeding routines and medical environment. Offering a pacifier can help in reducing stress and discomfort, which is beneficial for the infant&#8217;s overall well-being.<\/li>\n\n\n\n<li><strong>Facilitating Feeding Transitions<\/strong>: As the infant progresses towards full enteral feedings, the use of a pacifier can help bridge the gap between feeding experiences. It provides a means for the infant to engage in the sucking process even if they are not feeding directly from the breast or bottle. This can support smoother transitions to oral feeding as the infant&#8217;s feeding capabilities evolve.<\/li>\n<\/ol>\n\n\n\n<p><strong>Why the other options are less suitable:<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>A. Speak to the healthcare provider about instituting physical therapy<\/strong>: While physical therapy may be beneficial in some cases, it is not immediately necessary for maintaining normal growth and development in the context of this specific scenario.<\/li>\n\n\n\n<li><strong>C. Ensure placement of the enteral tube with an abdominal x-ray<\/strong>: Tube placement should be confirmed as per protocol; however, this is more of a procedural concern and does not directly relate to the infant\u2019s growth and developmental needs.<\/li>\n\n\n\n<li><strong>D. Use sterile technique during feedings<\/strong>: Sterile technique is crucial to prevent infections but is not directly related to the infant\u2019s growth and development in the same way that addressing developmental and comfort needs is.<\/li>\n<\/ul>\n\n\n\n<p>In summary, offering a pacifier for non-nutritive sucking is a key action to support the infant&#8217;s development and comfort during this critical period of recovery and adjustment.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>A newborn with a repaired gastroschisis is transferred to the pediatric unit after several days in the pediatric intensive care unit. The infant is receiving parenteral nutrition and continuous enteral feedings. To maintain normal growth and development of the infant, which action should the nurse include in the plan of care? A Speak to the [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[25],"tags":[],"class_list":["post-135584","post","type-post","status-publish","format-standard","hentry","category-exams-certification"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/135584","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/comments?post=135584"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/135584\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=135584"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=135584"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=135584"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}